JUDITH A FIETSAM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041120199

License Status

INACTIVE

Business

First Name

JUDITH A

Last Name

FIETSAM

Business Name

JUDITH A FIETSAM

Original Issue Date

01/04/1967

Effective Date

01/04/1967

Expiration Date

05/31/1986

City

CORAL SPRINGS

State

Zip

33065

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/27/2006